Organization
INTEGRATIVE PHYSICAL MEDICINE OF LAKELAND LLC
Active
Other names
Integrative Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARC OTT (PRESIDENT)
(407) 977-3434
Entity
Organization
Contact information
Practice address
1205 EAST MAGNOLIA ST, SUITE 105, LAKELAND, FL 33801
(863) 272-7454
(863) 272-7456
Mailing address
1205 EAST MAGNOLIA ST, SUITE 105, LAKELAND, FL 33801
(863) 272-7454
(863) 272-7456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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